<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
  <head>
    <title>修改病例信息报告卡</title>
    <meta http-equiv="keywords" content="enter,your,keywords,here" />
    <meta http-equiv="description" content="A short description of this page." />
    <meta http-equiv="content-type" content="text/html; charset=UTF-8" />
    <#include "/template/head.html">
    <script type="text/javascript"> 
    $.metadata.setType("attr", "validate");
    $(function() {
      $("#blxxkForm").validate();
      rotDis('hbbw', 'selected', ['其它'], 'hbbwqt_warp');
      rotDis('zlfl', 'checked', [2], 'tb_jwzlqk');
      rotDis('yfzl', 'checked', [1], 'yfzlrq_warp');
      rotDis('chbbw', 'selected', ['其它'], 'chbbwqt_warp');
      rotDis('yljgfirst', 'selected', ['其它'], 'yljgfirstqt_warp');
      rotDis('yljglast', 'selected', ['其它'], 'yljglastqt_warp');
      rotDis('zljglast', 'selected', ['其它'], 'zljglastqt_warp');
      rotDis('wxxyb', 'checked', [1], 'wxxyb_warp');
      rotDis('wxzl', 'checked', [1], 'wxzlmc_warp');
      rotDis('wxdp', 'checked', [1], 'wxdpfs_warp');
      rotDis('xbjc', 'checked', [1], 'xb_detail_warp');
      rotDis('tpbb', 'selected', ['组织活检', '其它'], 'tpbbqt_warp');
      rotDis('pybb', 'selected', ['组织活检', '其它'], 'pybbqt_warp');
      rotDis('jhsy', 'checked', [1], 'jh_warp');
      rotDis('jhjg', 'checked', [2], 'jhjgyx_warp');
    });
    </script> 
  </head>
  <body>
  <#macro chkSelect status val="null">
    <#if val!="null" && val==status>selected="selected"</#if>
  </#macro>
  <#macro chk_true val="null">
    <#if val!="null" && val>checked="checked"</#if>
  </#macro>
  <#macro chk_false val="null">
    <#if val!="null" && !val>checked="checked"</#if>
  </#macro>
    <form id="blxxkForm" action="${basePath}brxx/update.do" method="post">
      <table class="cmxform" cellspacing="1">
        <caption>修&nbsp;&nbsp;改&nbsp;&nbsp;病&nbsp;&nbsp;人&nbsp;&nbsp;信&nbsp;&nbsp;息&nbsp;&nbsp;卡</caption>
        <tr>
          <th width="12%">KICID号：</th>
          <td width="38%">
            <input name="kicid" value="${baseInfo.kicid}" class="disabled" readonly/>
            <label for="kicid" class="error">预警8位条码号</label>
          </td>
          <th width="12%">报告单位：</th>
          <td width="38%">
            <input type="hidden" name="djdw.dwid" value="${baseInfo.djdw.dwid}" />
            <input name="djdw_mc" value="${baseInfo.djdw.dwmc}" disabled="disabled"/>
          </td>
        </tr>
        <tr>
          <th>病人登记号：</th>
          <td><input name="djhm" value="${baseInfo.djhm}" validate="rangelength:[1,10]"/></td>
          <th>病人登记日期：</th>
          <td><input id="djrq" name="djrq" value="${baseInfo.djrq}" class="Wdate required date" /></td>
        </tr>
        <tr>
          <td colspan="4">病人基本信息<br />
            1. 本表由门诊医生为主负责填写，一份自留，一份送省参比室<br />
            2. 所有结核病人（含涂阴，肺外结核）均应填写。
            <span style="color:blue">本表填写说明：日期格式 yyyy-MM-dd；</span>
          </td>
        </tr>
        <tr>
          <th>姓名：</th>
          <td><input name="brxm" value="${baseInfo.brxm}" validate="required:true,rangelength:[1,4]" /></td>
          <th>社保（医/农）号：</th>
          <td><input name="sbbh" value="${baseInfo.sbbh}"/></td>
        </tr>
        <tr>
          <th>性别：</th>
          <td>
            <input name="brxb" type="radio" value="1" class="required" <@chk_true baseInfo.brxb/>/>男&nbsp;&nbsp;
            <input name="brxb" type="radio" value="2" <@chk_false baseInfo.brxb/>/>女
            <label for="brxb" class="error">*</label>
          </td>
          <th>身高：</th>
          <td><input name="brsg" class="w80 required number" value="${baseInfo.brsg}" />cm<label for="brsg" class="error">*</label></td>
        </tr>
        <tr>
          <th>出生日期：</th>
          <td><input id="csrq" name="csrq" class="Wdate required date" value="${baseInfo.csrq}"/></td>
          <th>体重：</th>
          <td><input name="brtz" class="w80 required number" value="${baseInfo.brtz}"/>kg<label for="brtz" class="error">*</label></td>
        </tr>
        <tr>
          <th>民族：</th>
          <td>
            <select name="brmz">
              <#list constants.nation as item>
              <option value="${item_index+1}" <@chkSelect status=item_index+1 val=baseInfo.brmz /> >${item}</option>
              </#list>
            </select>
          </td>
          <th>血压：</th>
          <td>
            <input name="brxyUp" class="w40 required" onblur="kpa2mmgh(this.value,'brxyUpMmHg')" value="${baseInfo.brxyUp}"/><label for="brxyUp" class="error">*</label> / 
            <input name="brxyDown" class="w40 required" onblur="kpa2mmgh(this.value,'brxyDownMmHg')" value="${baseInfo.brxyDown}"/>kpa<label for="brxyDown" class="error">*</label>
            <span style="color: gray; margin-left: 20px;">
              <input name="brxyUpMmHg" class="w40" validate="range:[80,200]" onblur="mmgh2kpa(this.value,'brxyUp')" />/
              <input name="brxyDownMmHg" class="w40" validate="range:[50,150]" onblur="mmgh2kpa(this.value,'brxyDown')" />mmhg
            </span>
          </td>
        </tr>
        <tr>
          <th>现住址：</th>
          <td><input name="addr" value="${baseInfo.addr}" class="w240" /></td>
          <th>体温：</th>
          <td><input name="brtw" value="${baseInfo.brtw}" class="w80 required number" />℃<label for="brtw" class="error">*</label></td>
        </tr>
        <tr>
          <th>联系电话：</th>
          <td><input name="tel" value="${baseInfo.tel}"/></td>
          <th>脉搏：</th>
          <td><input name="brmb" value="${baseInfo.brmb}" class="w80 required digits" />次/分<label for="brmb" class="error">*</label></td>
        </tr>
        <tr>
          <td colspan="4">病例信息报告卡</td>
        </tr>
        <tr>
          <th>诊断时的体征/症状：</th>
          <td colspan="3">
            <table width="100%">
              <tr>
                <th width="10%">咳嗽：</th>
                <td width="15%">
                  <input name="sfks" type="radio" class="required" <@chk_true val=blxxk.sfks/> value="1"/>是&nbsp;&nbsp;
                  <input name="sfks" type="radio" value="0" <@chk_false val=blxxk.sfks/>/>否
                  <label for="sfks" class="error">*</label>
                </td>
                <th width="10%">咳痰：</th>
                <td width="15%">
                  <input name="sfkt" type="radio" class="required" value="1" <@chk_true val=blxxk.sfkt/>/>是&nbsp;&nbsp;
                  <input name="sfkt" type="radio" value="0" <@chk_false val=blxxk.sfkt/>/>否
                  <label for="sfkt" class="error">*</label>
                </td>
                <th width="10%">发热：</th>
                <td width="15%">
                  <input name="sffr" type="radio" class="required" value="1" <@chk_true val=blxxk.sffr/>/>是&nbsp;&nbsp;
                  <input name="sffr" type="radio" value="0" <@chk_false val=blxxk.sffr/>/>否
                  <label for="sffr" class="error">*</label>
                </td>
                <th width="10%">盗汗：</th>
                <td width="15%">
                  <input name="sfdh" type="radio" class="required" value="1" <@chk_true blxxk.sfdh/>/>是&nbsp;&nbsp;
                  <input name="sfdh" type="radio" value="0" <@chk_false blxxk.sfdh/>/>否
                  <label for="sfdh" class="error">*</label>
                </td>
              </tr>
              <tr>
                <th width="10%">乏力：</th>
                <td width="15%">
                  <input name="sffl" type="radio" class="required" value="1" <@chk_true blxxk.sffl/>/>是&nbsp;&nbsp;
                  <input name="sffl" type="radio" value="0" <@chk_false blxxk.sffl/>/>否
                  <label for="sffl" class="error">*</label>
                </td>
                <th width="10%">纳差：</th>
                <td width="15%">
                  <input name="sfnc" type="radio" class="required" value="1" <@chk_true blxxk.sfnc/>/>是&nbsp;&nbsp;
                  <input name="sfnc" type="radio" value="0" <@chk_false blxxk.sfnc/>/>否
                  <label for="sfnc" class="error">*</label>
                </td>
                <th width="10%">咯血：</th>
                <td width="15%">
                  <input name="sfkx" type="radio" class="required" value="1" <@chk_true blxxk.sfkx/>/>是&nbsp;&nbsp;
                  <input name="sfkx" type="radio" value="0" <@chk_false blxxk.sfkx/>/>否
                  <label for="sfkx" class="error">*</label>
                </td>
                <th width="10%">消瘦：</th>
                <td width="15%">
                  <input name="sfxs" type="radio" class="required" value="1" <@chk_true blxxk.sfxs/>/>是&nbsp;&nbsp;
                  <input name="sfxs" type="radio" value="0" <@chk_false blxxk.sfxs/>/>否
                  <label for="sfxs" class="error">*</label>
                </td>
              </tr>
              <tr>
                <th width="10%">胸痛：</th>
                <td width="15%">
                  <input name="sfxt" type="radio" class="required" value="1" <@chk_true blxxk.sfxt/>/>是&nbsp;&nbsp;
                  <input name="sfxt" type="radio" value="0" <@chk_false blxxk.sfxt/>/>否
                  <label for="sfxt" class="error">*</label>
                </td>
                <th width="10%">其他：</th>
                <td width="65%" colspan="5">
                  <input name="tzqt" value="${blxxk.tzqt}"/>
                </td>
              </tr>
            </table>
          </td>
        </tr>
        <tr>
          <th>主要患病部位：</th>
          <td colspan="3">
            <select name="hbbw" onchange="rotDis('hbbw', 'selected', ['其它'], 'hbbwqt_warp')" class="required">
              <option value=""></option>
              <#list constants.hbbw as item>
              <option value="${item_index+1}" <@chkSelect status=item_index+1 val=blxxk.hbbw/>>${item}</option>
              </#list>
            </select>
            <select name="hbbw2">
              <option value=""></option>
              <#list constants.hbbw as item>
              <option value="${item_index+1}" <@chkSelect status=item_index+1 val=blxxk.hbbw2/>>${item}</option>
              </#list>
            </select>
            <select name="hbbw3">
              <option value=""></option>
              <#list constants.hbbw as item>
              <option value="${item_index+1}" <@chkSelect status=item_index+1 val=blxxk.hbbw3/>>${item}</option>
              </#list>
            </select>
            <span id="hbbwqt_warp" class="none">
              <label for="hbbwqt">其它说明</label>
              <input id="hbbwqt" name="hbbwqt" disabled="disabled" class="required" value="${blxxk.hbbwqt}"/>
            </span>
          </td>
        </tr>
        <tr>
          <th>病人治疗分类：</th>
          <td colspan="3">
            <span onclick="rotDis('zlfl', 'checked', [2], 'tb_jwzlqk')">
              <input type="radio" name="zlfl" value="1" class="required" <#if blxxk.zlfl?? && blxxk.zlfl==1>checked="checked"</#if>/>初治&nbsp;&nbsp;
              <input type="radio" name="zlfl" value="2" <#if blxxk.zlfl?? && blxxk.zlfl==2>checked="checked"</#if>/>复治
              <label for="zlfl" class="error">*</label>
             </span>
            <label>是否接受过预防治疗：</label>
            <span onclick="rotDis('yfzl', 'checked', [1], 'yfzlrq_warp')">
              <input name="yfzl" type="radio" class="required" value="1" <@chk_true val=blxxk.yfzl/>/>是&nbsp;&nbsp;
              <input name="yfzl" type="radio" value="0" <@chk_false val=blxxk.yfzl/>/>否
            </span>
            <label for="yfzl" class="error">*</label>
            <span id="yfzlrq_warp" class="none">
              <label for="yfzlrq">开始日期</label>
              <input id="yfzlrq" name="yfzlrq" disabled="disabled" class="Wdate required date" value="${blxxk.yfzlrq}"/>
            </span>
            <#if blxxk.jwzlqk??>
            <table id="tb_jwzlqk" class="inform none" cellspacing="1">
              <tr><th colspan="2" style="text-align: center; color: blue;">病人既往治疗情况</th></tr>
              <tr>
                <th width="20%">曾患结核病部位：</th>
                <td width="80%">
                <select name="chbbw" disabled="disabled" class="required" onchange="rotDis('chbbw', 'selected', ['其它'], 'chbbwqt_warp')">
                  <option value=""></option>
                  <#list constants.hbbw as item>
                  <option value="${item_index+1}" <@chkSelect status=item_index+1 val=blxxk.jwzlqk.chbbw/>>${item}</option>
                  </#list>
                </select>
                <span id="chbbwqt_warp" class="none">
                  <label for="chbbwqt">其它说明</label>
                  <input name="chbbwqt" disabled="disabled" class="required" value="${blxxk.jwzlqk.chbbwqt}"/>
                </span>
                </td>
              </tr>
              <tr>
                <th>首次诊断时间：</th>
                <td><input id="csrq" name="sczdrq" value="${blxxk.jwzlqk.sczdrq}" disabled="disabled" class="Wdate required date"/></td>
              </tr>
              <tr>
                <th>在何处被诊断：</th>
                <td><input name="qzyy" value="${blxxk.jwzlqk.qzyy}" disabled="disabled" class="required"/></td>
              </tr>
              <tr>
                <th>首疗程在什么医疗机构开始：</th>
                <td>
                  <select name="yljgfirst" disabled="disabled" class="required" onchange="rotDis('yljgfirst', 'selected', ['其它'], 'yljgfirstqt_warp')">
                    <option value=""></option>
                    <#list constants.yljg as item>
                    <option value="${item_index+1}" <@chkSelect status=item_index+1 val=blxxk.jwzlqk.yljgfirst/>>${item}</option>
                    </#list>
                  </select>
                  <span id="yljgfirstqt_warp" class="none">
                    <label for="yljgfirstqt">单位名称</label>
                    <input name="yljgfirstqt" disabled="disabled" class="required" value="${blxxk.jwzlqk.yljgfirstqt}"/>
                  </span>
                </td>
              </tr>
              <tr>
                <th>首次疗程开始日期：</th>
                <td><input id="csrq" name="sczlrq" disabled="disabled" class="Wdate required date" value="${blxxk.jwzlqk.sczlrq}"/></td>
              </tr>
              <tr>
                <th>用药史：</th>
                <td>
                  H <input name="hyys" disabled="disabled" class="w40 number" value="${blxxk.jwzlqk.hyys}"/> 天，
                  S <input name="syys" disabled="disabled" class="w40 number" value="${blxxk.jwzlqk.syys}"/> 天，
                  R <input name="ryys" disabled="disabled" class="w40 number" value="${blxxk.jwzlqk.ryys}"/> 天，
                  Z <input name="zyys" disabled="disabled" class="w40 number" value="${blxxk.jwzlqk.zyys}"/> 天，
                  E <input name="eyys" disabled="disabled" class="w40 number" value="${blxxk.jwzlqk.eyys}"/> 天，
                  <label>其它</label><input name="yysqt" disabled="disabled" class="w60 number" value="${blxxk.jwzlqk.yysqt}"/> 天
                </td>
              </tr>
              <tr>
                <th>按标准化治疗方案完成：</th>
                <td>
                  <input type="radio" name="sfwclc" value="1" disabled="disabled" class="required" <@chk_true val=blxxk.jwzlqk.sfwclc/>/>是
                  <input type="radio" name="sfwclc" value="0" disabled="disabled" <@chk_false val=blxxk.jwzlqk.sfwclc/>/>否
                  <label for="sfwclc" class="error">*</label>
                </td>
              </tr>
              <tr>
                <th>最近一次治疗所在医疗机构：</th>
                <td>
                  <select name="yljglast" disabled="disabled" class="required" onchange="rotDis('yljglast', 'selected', ['其它'], 'yljglastqt_warp')">
                    <option value=""></option>
                    <#list constants.yljg as item>
                    <option value="${item_index+1}" <@chkSelect status=item_index+1 val=blxxk.jwzlqk.yljglast/>>${item}</option>
                    </#list>
                  </select>
                  <span id="yljglastqt_warp" class="none">
                    <label for="yljglastqt">单位名称</label>
                    <input name="yljglastqt" disabled="disabled" class="required" value="${blxxk.jwzlqk.yljglastqt}"/>
                  </span>
                </td>
              </tr>
              <tr>
                <th>最近一次治疗结果：</th>
                <td>
                  <select name="zljglast" disabled="disabled" class="required" onchange="rotDis('zljglast', 'selected', ['其它'], 'zljglastqt_warp')">
                    <option value=""></option>
                    <#list constants.zljg as item>
                    <option value="${item_index+1}" <@chkSelect status=item_index+1 val=blxxk.jwzlqk.zljglast/>>${item}</option>
                    </#list>
                  </select>
                  <span id="zljglastqt_warp" class="none">
                    <label for="zljglastqt">其它：</label>
                    <input name="zljglastqt" disabled="disabled" class="required" value="${blxxk.jwzlqk.zljglastqt}"/>
                  </span>
                </td>
              </tr>
            </table>
            <#else>
            <table id="tb_jwzlqk" class="inform none" cellspacing="1">
              <tr><th colspan="2" style="text-align: center; color: blue;">病人既往治疗情况</th></tr>
              <tr>
                <th width="20%">曾患结核病部位：</th>
                <td width="80%">
                <select name="chbbw" class="required" disabled="disabled" onchange="rotDis('chbbw', 'selected', ['其它'], 'chbbwqt_warp')">
                  <option value=""></option>
                  <#list constants.hbbw as item>
                  <option value="${item_index+1}">${item}</option>
                  </#list>
                </select>
                <span id="chbbwqt_warp" class="none">
                  <label for="chbbwqt">其它说明</label>
                  <input name="chbbwqt" disabled="disabled" class="required" />
                </span>
                </td>
              </tr>
              <tr>
                <th>首次诊断时间：</th>
                <td><input id="csrq" name="sczdrq" disabled="disabled" class="Wdate required date" /></td>
              </tr>
              <tr>
                <th>在何处被诊断：</th>
                <td><input name="qzyy" disabled="disabled" class="required"/></td>
              </tr>
              <tr>
                <th>首疗程在什么医疗机构开始：</th>
                <td>
                  <select name="yljgfirst" disabled="disabled" class="required" onchange="rotDis('yljgfirst', 'selected', ['其它'], 'yljgfirstqt_warp')">
                    <option value=""></option>
                    <#list constants.yljg as item>
                    <option value="${item_index+1}">${item}</option>
                    </#list>
                  </select>
                  <span id="yljgfirstqt_warp" class="none">
                    <label for="yljgfirstqt">单位名称</label>
                    <input name="yljgfirstqt" disabled="disabled" class="required"/>
                  </span>
                </td>
              </tr>
              <tr>
                <th>首次疗程开始日期：</th>
                <td><input id="csrq" name="sczlrq" disabled="disabled" class="Wdate required date" /></td>
              </tr>
              <tr>
                <th>用药史：</th>
                <td>
                  H <input name="hyys" disabled="disabled" class="w40 number"/> 天，
                  S <input name="syys" disabled="disabled" class="w40 number"/> 天，
                  R <input name="ryys" disabled="disabled" class="w40 number"/> 天，
                  Z <input name="zyys" disabled="disabled" class="w40 number"/> 天，
                  E <input name="eyys" disabled="disabled" class="w40 number"/> 天，
                  <label>其它</label><input name="yysqt" disabled="disabled" class="w60 number"/> 天
                </td>
              </tr>
              <tr>
                <th>按标准化治疗方案完成：</th>
                <td>
                  <input type="radio" name="sfwclc" value="1" disabled="disabled" class="required"/>是
                  <input type="radio" name="sfwclc" value="0" disabled="disabled" />否
                  <label for="sfwclc" class="error">*</label>
                </td>
              </tr>
              <tr>
                <th>最近一次治疗所在医疗机构：</th>
                <td>
                  <select name="yljglast" disabled="disabled" class="required" onchange="rotDis('yljglast', 'selected', ['其它'], 'yljglastqt_warp')">
                    <option value=""></option>
                    <#list constants.yljg as item>
                    <option value="${item_index+1}">${item}</option>
                    </#list>
                  </select>
                  <span id="yljglastqt_warp" class="none">
                    <label for="yljglastqt">单位名称</label>
                    <input name="yljglastqt" disabled="disabled" class="required"/>
                  </span>
                </td>
              </tr>
              <tr>
                <th>最近一次治疗结果：</th>
                <td>
                  <select name="zljglast" disabled="disabled" class="required" onchange="rotDis('zljglast', 'selected', ['其它'], 'zljglastqt_warp')">
                    <option value=""></option>
                    <#list constants.zljg as item>
                    <option value="${item_index+1}">${item}</option>
                    </#list>
                  </select>
                  <span id="zljglastqt_warp" class="none">
                    <label for="zljglastqt">其它：</label>
                    <input name="zljglastqt" disabled="disabled" class="required"/>
                  </span>
                </td>
              </tr>
            </table>
            </#if>
          </td>
        </tr>
        <tr>
          <th>危险医学状况：</th>
          <td>
            <input type="checkbox" name="wxtnb" value="1" <@chk_true val=blxxk.wxtnb/>/>
            <label for="wxtnb">糖尿病</label>
            <br />
            <input type="checkbox" name="wxxj" value="1" <@chk_true val=blxxk.wxxj/>/>
            <label for="wxxj">酗酒（在最近1年）</label>
            <br />
            <input type="checkbox" name="wxxfb" value="1" <@chk_true val=blxxk.wxxfb/>/>
            <label for="wxxfb">矽肺病</label>
            <br />
            <input type="checkbox" name="wxmyzl" value="1" <@chk_true val=blxxk.wxmyzl/>/>
            <label for="wxmyzl">肾上腺素或其它免疫抑制治疗</label>
            <br />
            <input type="checkbox" name="wxss" value="1" <@chk_true val=blxxk.wxss/>/>
            <label for="wxss">胃切除或肠道改路</label>
            <br />
            <input type="checkbox" name="wx5syx" value="1" <@chk_true val=blxxk.wx5syx/>/>
            <label for="wx5syx">5岁以下</label>
            <br />
            <input type="checkbox" name="wxjctb" value="1" <@chk_true val=blxxk.wxjctb/>/>
            <label for="wxjctb">最近结核病暴露（与结核病人接触）</label>
            <br />
            <input type="checkbox" name="wxtz" value="1" <@chk_true val=blxxk.wxtz/>/>
            <label for="wxtz">比标准体重低10%以上</label>
            <br />
            <input type="checkbox" name="wxxsbl" value="1" <@chk_true val=blxxk.wxxsbl/>/>
            <label for="wxxsbl">慢性吸收不良症</label>
          </td>
          <td colspan="2">
            <input type="checkbox" name="wxxyb" value="1" <@chk_true val=blxxk.checkbox/> onclick="rotDis('wxxyb', 'checked', [1], 'wxxyb_warp')"/>
            <label for="wxxyb">血液病</label>
            <span id="wxxyb_warp" class="none">
              <input type="checkbox" name="wxxybbxb" disabled="disabled" <@chk_true val=blxxk.wxxybbxb/> value="1"/>
              <label for="wxxybbxb">白血病</label>
              <input type="checkbox" name="wxxyblbl" disabled="disabled" <@chk_true val=blxxk.wxxyblbl/> value="1"/>
              <label for="wxxyblbl">淋巴瘤</label>
            </span>
            <br />
            <input type="checkbox" name="wxzl" value="1" <@chk_true val=blxxk.wxzl/> onclick="rotDis('wxzl', 'checked', [1], 'wxzlmc_warp')"/>
            <label for="wxzl">肿瘤</label>
            <span id="wxzlmc_warp" class="none">
              <label for="wxzlmc">详细名称</label>
              <input id="wxzlmc" name="wxzlmc" value="${blxxk.wxzlmc}" disabled="disabled" class="required"/>
            </span>
            <br />
            <input type="checkbox" name="wxhiv" value="1" <@chk_true val=blxxk.wxhiv/>/>
            <label for="wxhiv">HIV 阳性（确证实验室确定后选择）</label>
            <br />
            <input type="checkbox" name="wxdp" value="1" <@chk_true val=blxxk.wxdp/> onclick="rotDis('wxdp', 'checked', [1], 'wxdpfs_warp')"/>
            <label for="wxdp">近一年使用毒品</label>
            <span id="wxdpfs_warp" class="none">
              <input type="radio" name="wxdpfs" value="1" disabled="disabled" <#if blxxk.wxdpfs?? && blxxk.wxdpfs==1>checked="checked"</#if> class="required"/>注射
              <input type="radio" name="wxdpfs" value="2" disabled="disabled" <#if blxxk.wxdpfs?? && blxxk.wxdpfs==2>checked="checked"</#if> />非注射
              <input type="radio" name="wxdpfs" value="3" disabled="disabled" <#if blxxk.wxdpfs?? && blxxk.wxdpfs==3>checked="checked"</#if> />不详
              <label for="wxdpfs" class="error">*</label>
            </span>
            <br />
            <input type="checkbox" name="wxjhj" value="1" <@chk_true val=blxxk.wxjhj/>/>
            <label for="wxjhj">最近2年结核菌素实验转阳</label>
            <br />
            <input type="checkbox" name="wxxp" value="1" <@chk_true val=blxxk.wxxp/>/>
            <label for="wxxp">胸片纤维病变支持陈旧性结核自愈</label>
            <br />
            <input type="checkbox" name="wxmxss" value="1" <@chk_true val=blxxk.wxmxss/>/>
            <label for="wxmxss">慢性肾衰</label>
            <br />
            <label for="wxxp">其它</label><input name="wxqt" value="${blxxk.wxqt}"/>
          </td>
        </tr>
        <tr>
          <th>胸部X线检查：</th>
          <td colspan="3">
            <table class="inform" cellspacing="1">
              <tr>
                <th colspan="4" style="text-align: left;">
                  <span onclick="rotDis('xbjc', 'checked', [1], 'xb_detail_warp')">
                    <input type="radio" name="xbjc" class="required" value="1" <@chk_true val=blxxk.xbjc/>/>已做 
                    <input type="radio" name="xbjc" value="0" <@chk_false val=blxxk.xbjc/>/>未做 
                  </span>
                  <label for="xbjc" class="error">*</label>
                </th>
              </tr>
              <tbody id="xb_detail_warp" class="none">
                <tr>
                  <th width="15%">检查方式：</th>
                  <td width="35%">
                    <input type="checkbox" name="xbxt" value="1" disabled="disabled" <@chk_true val=blxxk.xbxt/>/>
                    <label for="xbxt">胸透</label>
                    <input type="checkbox" name="xbxp" value="1" disabled="disabled" <@chk_true val=blxxk.xbxp/>/>
                    <label for="xbxp">胸片</label>
                  </td>
                  <th width="12%">X片号：</th>
                  <td width="38%">
                    <input name="xbxpbh" disabled="disabled" class="w80 required" value="${blxxk.xbxpbh}"/>
                    <label for="xbjcrq">日期：</label>
                    <input name="xbjcrq" disabled="disabled" class="Wdate required date" value="${blxxk.xbjcrq}"/>
                  </td>
                </tr>
                <tr>
                  <th>结果（诊断公式）：</th>
                  <td>
                    <input name="xbjggs" value="${blxxk.xbjggs}" disabled="disabled"/>
                  </td>
                  <th>空洞：</th>
                  <td>
                    <input type="radio" name="xbkd" disabled="disabled" value="1" <@chk_true val=blxxk.xbkd/>/>有
                    <input type="radio" name="xbkd" disabled="disabled" value="0" <@chk_false val=blxxk.xbkd/>/>无
                  </td>
                </tr>
              </tbody>
            </table>
          </td>
        </tr>
        <tr>
          <th>涂片抗酸染色结果：</th>
          <td colspan="3">
            <table width="99%">
              <tr>
                <th width="12%">本次检查日期：</th>
                <td width="25%">
                  <input name="tprq" class="Wdate required date" value="${blxxk.tprq}"/>
                </td>
                <th width="12%">标本类型：</th>
                <td>
                  <select name="tpbb" class="required" onchange="rotDis('tpbb', 'selected', ['组织活检', '其它'], 'tpbbqt_warp')">
                    <option value=""></option>
                    <#list constants.bblx as item>
                    <option value="${item_index+1}" <@chkSelect status=item_index+1 val=blxxk.tpbb/>>${item}</option>
                    </#list>
                  </select>
                  <span id="tpbbqt_warp" class="none">
                    <label for="tpbbqt">标本来源部位</label>
                    <input id="tpbbqt" name="tpbbqt" disabled="disabled" class="required" value="${blxxk.tpbbqt}"/>
                  </span>
                </td>
              </tr>
              <tr>
                <th>检查结果：</th>
                <td colspan="3">
                  <input type="radio" name="tpjg" value="1" class="required" <#if blxxk.tpjg?? && blxxk.tpjg==1>checked="checked"</#if>/>阴性
                  <input type="radio" name="tpjg" value="2" <#if blxxk.tpjg?? && blxxk.tpjg==2>checked="checked"</#if>/><span style="color: red">阳性</span>
                  <label for="tpjg" class="error">*</label>
                </td>
              </tr>
            </table>
          </td>
        </tr>
        <tr>
          <th>培养结果：</th>
          <td colspan="3">
            <table width="99%">
              <tr>
                <th width="12%">本次检查日期：</th>
                <td width="25%"><input name="pyrq" class="Wdate required date" value="${blxxk.pyrq}"/></td>
                <th width="12%">标本类型：</th>
                <td>
                  <select name="pybb" class="required" onchange="rotDis('pybb', 'selected', ['组织活检', '其它'], 'pybbqt_warp')">
                    <option value=""></option>
                    <#list constants.bblx as item>
                    <option value="${item_index+1}" <@chkSelect status=item_index+1 val=blxxk.pybb/>>${item}</option>
                    </#list>
                  </select>
                  <span id="pybbqt_warp" class="none">
                    <label for="pybbqt">标本来源部位</label>
                    <input id="pybbqt" name="pybbqt" disabled="disabled" class="required" value="${blxxk.pybbqt}"/>
                  </span>
                </td>
              </tr>
              <tr>
                <th>结果：</th>
                <td colspan="3">
                  <input type="radio" name="pyjg" value="1" class="required" <#if blxxk.pyjg?? && blxxk.pyjg==1>checked="checked"</#if>/>阴性
                  <input type="radio" name="pyjg" value="2" <#if blxxk.pyjg?? && blxxk.pyjg==2>checked="checked"</#if>/><span style="color: red">阳性</span>
                  <label for="tpjg" class="error">*</label>
                </td>
              </tr>
            </table>
          </td>
        </tr>
        <tr>
          <th>结核菌素皮肤实验：</th>
          <td colspan="3">
            <table class="inform" cellspacing="1">
              <tr>
                <th colspan="4" style="text-align: left;">
                  <span onclick="rotDis('jhsy', 'checked', [1], 'jh_warp')">
                    <input type="radio" name="jhsy" value="1" <@chk_true val=blxxk.jhsy/> class="required"/>是
                    <input type="radio" name="jhsy" value="0" <@chk_false val=blxxk.jhsy/>/>否
                    <label for="jhsy" class="error">*</label>
                  </span>
                </th>
              </tr>
              <tr id="jh_warp" class="none">
                <th width="20%">实验结果：</th>
                <td width="80%">
                  <span onclick="rotDis('jhjg', 'checked', [2], 'jhjgyx_warp')">
                    <input type="radio" name="jhjg" value="3" disabled="disabled" <#if blxxk.jhjg?? && blxxk.jhjg==3>checked="checked"</#if>/>未读
                    <input type="radio" name="jhjg" value="1" disabled="disabled" <#if blxxk.jhjg?? && blxxk.jhjg==1>checked="checked"</#if>/>阴性
                    <input type="radio" name="jhjg" value="2" disabled="disabled" <#if blxxk.jhjg?? && blxxk.jhjg==2>checked="checked"</#if> class="required"/><span style="color: red">阳性</span>
                    <span id="jhjgyx_warp" class="none">
                      <input name="jhjgyx1" disabled="disabled" class="w40 number" value="${blxxk.jhjgyx1}"/>X<input name="jhjgyx2" disabled="disabled" class="w40 number" value="${blxxk.jhjgyx2}"/>毫米
                      <input type="checkbox" name="jhjgsp" disabled="disabled" value="${blxxk.jhjgsp}"/> 水泡
                    </span>
                    <label for="jhjg" class="error">*</label>
                  </span>
                </td>
              </tr>
              <tr>
                <th width="20%">BCG接种史：</th>
                <td width="80%">
                  <input type="radio" name="jhbcg" value="1" <#if blxxk.jhbcg?? && blxxk.jhbcg==1>checked="checked"</#if> class="required"/>是
                  <input type="radio" name="jhbcg" value="2" <#if blxxk.jhbcg?? && blxxk.jhbcg==2>checked="checked"</#if>/>否
                  <input type="radio" name="jhbcg" value="3" <#if blxxk.jhbcg?? && blxxk.jhbcg==3>checked="checked"</#if>/>不详
                  <label for="jhbcg" class="error">*</label>
                </td>
              </tr>
            </table>
          </td>
        </tr>
        <tr>
          <th>建议住院：</th>
          <td colspan="3">
            <input type="radio" name="jyzy" value="1" <@chk_true val=blxxk.jyzy/> class="required"/>是
            <input type="radio" name="jyzy" value="0" <@chk_false val=blxxk.jyzy/>/>否
            <label for="jyzy" class="error">*</label>
          </td>
        </tr>
        <tr>
          <th>免费治疗：</th>
          <td>
            <input type="radio" name="mfzl" value="1" <@chk_true val=blxxk.mfzl/> class="required"/>是
            <input type="radio" name="mfzl" value="0" <@chk_false val=blxxk.mfzl/>/>否
            <label for="mfzl" class="error">*</label>
          </td>
          <th>医生签名：</th>
          <td>
            <input name="ysqm" class="w80 required" value="${blxxk.ysqm}"/>
            <label>日期：</label>
            <input id="ysqmrq" name="ysqmrq" value="${blxxk.ysqmrq}" class="Wdate required date" />
          </td>
        </tr>
        <tr>
          <th>病人是否顺应：</th>
          <td>
            <input type="radio" name="sfsy" value="1" <@chk_true val=blxxk.sfsy/> class="required"/>是
            <input type="radio" name="sfsy" value="0" <@chk_false val=blxxk.sfsy/>/>否
            <label for="sfsy" class="error">*</label>
          </td>
          <th>检验人员签名：</th>
          <td>
            <input name="jyqm" class="w80 required" value="${blxxk.jyqm}"/>
            <label>日期：</label>
            <input id="jyqmrq" name="jyqmrq" value="${blxxk.jyqmrq}" class="Wdate required date" />
          </td>
        </tr>
        <tfoot>
          <tr>
            <td colspan="4">
              <input type="hidden" name="curStep" value="baseInfo"/>
              <button type="submit" class="next"></button>
            </td>
          </tr>
        </tfoot>
      </table>
    </form>
  </body>
</html>